Category Archives: Enhanced Recovery

This piece starts with the question: Is there a hierarchy amongst the various elements of an enhanced recovery pathway? The conversation that follows tackles some of the essential elements of perioperative care. This conversation is taken from a longer piece to be found here: https://www.topmedtalk.com/live-from-the-iseh-part-2/ For further expert discussion regarding the Drink, Eat, Mobilise, Sleep (DrEaMS)…

How does perioperative care relate to obstetrics? Who does it benefit, the patient, the hospital or both? How does it help to engage pregnant patients through the perioperative process? Furthermore, does the issue of addiction arise in this area? Coming from this summer’s Peroperative Quality Initiative (POQI), hosted at Washington Duke University in Durham, this…

We begin with a question from the audience; ‘how do we drive change in our institutions towards enhanced recovery after surgery?’ The GIRFT (Getting It Right First Time) project is explained. The Health Foundation is also mentioned. This conversation is taken from a longer piece to be found here: https://www.topmedtalk.com/live-from-the-iseh-part-2/ This edition of TopMedTalk was recorded…

The patient experience can be quite passive and, as a result, people can lose temperature quickly. The consequences can be very negative, this conversation revolves around how you can keep your patients warm. This piece is taken from a longer conversation to be found here: https://www.topmedtalk.com/live-from-the-iseh-part-1/ This edition of TopMedTalk was recorded at The Institute of…

This piece focuses on the latest print issue of ‘Anesthesia and Analgesia’ which is saturated with coverage of the Perioperative Quality Initiative (POQI), the most recent meeting of which was sponsored by the American Society of Enhanced Recovery (ASER). This conversation acts as an update on where some of the latest thinking is as regards…

The GIRFT (Getting It Right First Time) project. The stated aim is ‘to help improve the quality of care within the NHS by reducing unwarranted variations, bringing efficiencies and improving patient outcomes’. This piece gives you the detail from one of the joint clinical leads. This piece is taken from a longer piece to be…

In this piece Monty Mythen speaks to Professor Paul Wischmeyer from the Department of Anesthesiology, Duke University, about the recently published American Society of Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on Nutrition and Screening Therapy within an Surgical Enhanced Program, which has just been print published. The link to it…

A fascinating conversation about the anti-inflammatory effects of exercise. The theory is floated that this could be part of the reason why exercise as a form a prehabilitation might be so effective as part of an enhanced recovery pathway. This is part of a longer piece which you can enjoy in full here: https://www.topmedtalk.com/rcoa-03-adverse-outcomes-and-patient-optimisation/ Featuring…

A special edition of TopMedTalk recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery (ERAS) leadership forum. We begin with a question from the audience; how do we drive change in our institutions towards enhanced recovery after surgery? The GIRFT (Getting It Right First Time) project is…

A special edition of TopMedTalk recorded at The Institute of Sport Exercise and Health (ISEH) live from an Enhanced Recovery After Surgery (ERAS) leadership forum. How can cold water adaption help people deal with medical issues? There’s evidence to suggest that cold water adaption reduces inflamation, can open water swimming help with issues such as…